Individual provider Active NPI

Robyn Lee Shepherd, ANP, CNS/PMH

  • Nurse Practitioner
  • Trion, GA
National Provider Identifier
1285694828
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN046097 Issued in GA
Practice address
701 Allgood St
Trion, GA 30753-1357
Phone
(706) 734-2003
Fax
(706) 734-2099
NPI assigned
Mar 27, 2006
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN046097 GA Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN046097 GA

Addresses

Primary practice location

701 Allgood St
Trion, GA 30753-1357

Mailing address

701 Allgood St
PO Box 880
Trion, GA 30753-1357
Phone (706) 734-2003

Other identifiers 1

IdentifierTypeStateIssuer
00548182CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN046097GAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Trion Medical Center Inc. Current Accepting new patients
Shepherd Resources Past Accepting new patients

Locations

701 Allgood St
Trion, GA 30753
Phone (706) 734-2003

Interoperability endpoints

  • Direct secure messaging: robyn.shepherd1@gadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1285694828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ALLGOOD ST",
            "address_2": "PO BOX 880",
            "city": "TRION",
            "state": "GA",
            "postal_code": "307531357",
            "telephone_number": "706-734-2003",
            "fax_number": "706-734-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ALLGOOD ST",
            "city": "TRION",
            "state": "GA",
            "postal_code": "307531357",
            "telephone_number": "706-734-2003",
            "fax_number": "706-734-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ROBYN",
        "middle_name": "LEE",
        "credential": "ANP, CNS/PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN046097",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN046097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00548182C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trion, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.